TY - JOUR A1 - Baumeister, Anna A1 - Gardemann, Joachim A1 - Fobker, Manfred A1 - Spiegler, Verena A1 - Fischer, Tobias T1 - Short-Term Influence of Caffeine and Medium-Chain Triglycerides on Ketogenesis: A Controlled Double-Blind Intervention Study JF - Hindawi Journal of Nutrition and Metabolism N2 - Background. Ketone bodies are a highly relevant topic in nutrition and medicine. -e influence of medium-chain triglycerides (MCT) on ketogenesis is well known and has been successfully used in ketogenic diets for many years. Nevertheless, the effects of MCTs and coconut oil on the production of ketone bodies have only partially been investigated. Furthermore, the increased mobilisation of free fatty acids and release of catabolic hormones by caffeine suggest an influence of caffeine on ketogenesis. Methods. In a controlled, double-blind intervention study, seven young healthy subjects received 10mL of tricaprylin (C8), tricaprin (C10), C8/C10 (50% C8, 50% C10), or coconut oil with or without 150 mg of caffeine, in 250mL of decaffeinated coffee, over ten interventions. At baseline and after every 40 minutes, for 4 h, ßHB and glucose in capillary blood as well as caffeine in saliva were measured. Furthermore, questionnaires were used to survey sensory properties, side effects, and awareness of hunger and satiety. Results. -e interventions with caffeine caused an increase in ßHB levels—in particular, the interventions with C8 highly impacted ketogenesis. -e effect decreased with increased chain lengths. All interventions showed a continuous increase in hunger and diminishing satiety. Mild side effects (total � 12) occurred during the interventions. Conclusions. -e present study demonstrated an influence of caffeine and MCTon ketogenesis. -eaddition of caffeine showed an additive effect on the ketogenic potential of MCT and coconut oil. C8 showed the highest ketogenicity. KW - Ketogenesis KW - Caffeine Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-138069 VL - Volume 2021, Article ID 1861567 SP - 1 EP - 9 ER - TY - JOUR A1 - Jablonowski, L A1 - Gardemann, J A1 - Smollich, M A1 - Kuczius, T T1 - Meinungsbild von Pädiatern zum Impfstatus von geflüchteten Kindern – Herausforderungen einer medizinischen Anbindung an das ambulante Regelversorgungssystem JF - Gesundheitswesen N2 - it is possible to identify fields of action for the prevention of vaccination gaps among refugees as well as for their systematic integration into the regular outpatient care system. The sphere standards as international standards should be incorporated more consciously KW - Flüchtlinge KW - Impfstatus KW - Impfverhalten KW - Infektionsschutz KW - Sphere-Standards Y1 - 2021 U6 - http://dx.doi.org/10.1055/a-1585-1679 VL - 2021 IS - 11 ER - TY - JOUR A1 - Kent, Lillian A1 - Rankin, Paul A1 - Morton, Darren A1 - Rankin, Rebekah A1 - Greenlaw, Roger A1 - Englert, Heike T1 - Volunteers: An Effective Medium for Delivering Therapeutic Lifestyle Interventions JF - American Journal of Health Promotion Y1 - 2021 U6 - http://dx.doi.org/10.1177/08901171211062581 ER - TY - JOUR A1 - Koeder, Christian T1 - Understanding the situation of vegans JF - Eating and Weight Disorders KW - vegan KW - plant-based diet KW - orthorexia nervosa Y1 - 2021 U6 - http://dx.doi.org/10.1007/s40519-021-01127-2 ER - TY - JOUR A1 - Koeder, Christian A1 - Hahn, Andreas A1 - Englert, Heike T1 - Effect of a 6-Month Controlled Lifestyle Intervention on Common Carotid Intima-Media Thickness JF - The journal of nutrition, health & aging KW - plant-based diet KW - cardiovascular disease KW - kardiovaskuläre Erkrankungen KW - Prävention Y1 - 2021 U6 - http://dx.doi.org/10.1007/s12603-021-1628-0 ER - TY - JOUR A1 - Koeder, Christian A1 - Hahn, Andreas A1 - Englert, Heike T1 - No clear association of sleep duration or bedtime with common carotid intima-media thickness JF - Atherosclerosis KW - intima-media thickness, atherosclerosis, cardiovascular disease, sleep, lifestyle medicine Y1 - 2021 U6 - http://dx.doi.org/10.1016/j.atherosclerosis.2021.06.452 SP - e150 EP - e151 ER - TY - JOUR A1 - Koeder, Christian A1 - Hahn, Andreas A1 - Englert, Heike T1 - Is fruit intake associated with common carotid intima-media thickness? JF - European Journal of Public Health N2 - Background Common carotid intima-media thickness (ccIMT) is an established risk marker for cardiovascular events, including myocardial infarction and stroke, which are of high public health relevance. While a higher fruit intake is generally considered beneficial for cardiovascular health, recent studies have shown that a fruit intake of > 2 portions per day may be harmful. Therefore, we tested if there is an association between categories of fruit intake and mean ccIMT. Methods We conducted an exploratory, non-prespecified, cross-sectional analysis of baseline values of 167 mostly middle-aged participants of a controlled lifestyle intervention, recruited from the general population in rural northwest Germany (male: n = 58; female: n = 109). Fruit intake was classified into low (<1 portion of fruit/day), intermediate (1-2 portions of fruit/day), and high (>2 portions of fruit/day). Mean ccIMT was measured in accordance with the Mannheim consensus. Between-group differences in mean ccIMT were assessed with analysis of covariance. Results Mean age was 57.3 ± 0.7 years (mean ± SEM). Mean fruit intake was 1.6 ± 0.1 portions/day. Average mean ccIMT was 0.679 ± 0.010 mm. There was a significant difference in mean ccIMT between subjects with low (0.676 ± 0.020 mm; n = 50), intermediate (0.653 ± 0.014 mm; n = 72), and high fruit intake (0.724 ± 0.019 mm; n = 45; p = 0.016). But this difference was attenuated when adjusting for age, sex, and homocysteine (p = 0.418). Conclusions We found only a non-significant association between consuming >2 portions of fruit per day and ccIMT. Thus, our study could not confirm a negative effect of fruit intake on ccIMT. Age, sex, and homocysteine may confound this association. Key messages Current recommendations of 2 portions of fruit per day seem adequate and do not negatively influence carotid intima-media thickness. Future studies should address confounding of the association between fruit intake and cardiovascular risk markers. KW - plant-based diet KW - carotid intima-media thickness KW - fruit Y1 - 2021 U6 - http://dx.doi.org/10.1093/eurpub/ckab165.391 ER - TY - JOUR A1 - Koeder, Christian A1 - Kranz, Ragna-Marie A1 - Anand, Corinna A1 - Husain, Sarah A1 - Alzughayyar, Dima A1 - Schoch, Nora A1 - Hahn, Andreas A1 - Englert, Heike T1 - Effect of a 1-year controlled lifestyle intervention on body weight and other risk markers (the Healthy Lifestyle Community Programme, cohort 2) JF - Obesity Facts KW - Adipositas KW - Lebensstil KW - pflanzenbasierte Ernährung Y1 - 2021 U6 - http://dx.doi.org/10.1159/000521164 ER - TY - JOUR A1 - Kranz, Ragna-Marie A1 - Englert, Heike T1 - Effect of a community-based lifestyle intervention programme on quality of life among German women JF - European Journal of Public Health N2 - Background Quality of life is an important concept in the field of health, which can be influenced by various lifestyle factors. The objective was to test if a community-based lifestyle programme would beneficially affect the health-related quality of life of German women. Methods The controlled intervention study had a total duration of 24 months. Quality of life (EQ-5D-3L), anthropometrics, vital and blood parameters as well as diagnosed diseases and health economic parameters were collected at baseline (t0), after 10 weeks (t1) and after 6 months (t2). For the intervention group (n = 65) a 10-week intensive lifestyle programme followed by monthly alumni meetings were conducted. The intensive phase consisted of 14 consecutive seminars about a healthy lifestyle, which focused on a plant-based diet, physical activity, stress management and community support. The control group (n = 35) received no intervention. Results The first descriptive health profile results of the subgroup analysis showed that 59% women of the intervention group at t0 (t1: 37%; t2: 48%) and 60% of the control group at t0 (t1: 54%; t2: 49%) reported problems in at least one of the EQ-5D dimensions (mobility, selfcare, activities, pain, and anxiety). A significant difference in EQ VAS change between women in intervention (7,15 [95% CI 4,32; 9,98]; EQ VAS t0: 75,35 [SD 13,71]) and control group (-2,63 [95% CI -5,40; 0,15]; EQ VAS t0: 78,80 [SD 18,51]) from t0 to t1 was observed (p < 001; adjusted for baseline). No significant differences in mean EQ VAS change from t0 to t2 and in mean EQ-5D index change from t0 to t1 and t0 to t2 between the groups were observed (p > 0,05; adjusted for baseline). Conclusions The preliminary results suggest that the lifestyle intervention programme can have a positive short-time effect on some aspects of quality of life, such as the health profile and EQ VAS. However, the long-term results will be shown in the future. Key messages - A healthy lifestyle can affect the quality of life in a positive way. - The community-based lifestyle programme had a short-time influence on the descriptive health profile and EQ VAS of German women, whereby the EQ index didńt change significantly between the groups. KW - health-related quality of life KW - plant-based diet KW - economics KW - community KW - healthy lifestyle Y1 - 2021 U6 - http://dx.doi.org/10.1093/eurpub/ckab165.389 VL - Volume 31 ER - TY - JOUR A1 - Kreyenschmidt, Judith A1 - Rösler, Florian A1 - Ritter, Guido T1 - Recommendation of Good Practice in the Food-Processing Industry for Preventing and Handling Food Loss and Waste JF - Sustainability N2 - Food-processing companies are controlled by societal influences and economic interests, but their efforts with regard to reducing food loss and waste are very different. This qualitative study aims to identify basic recommendations of good practice for the food-processing industry in order to prevent and handle food loss and waste. For this purpose, a comprehensive literature review was conducted in the field of food waste prevention and data was collected from thirteen German companies. The findings summarize the recommendations of good practice, which cover the entire supply chain from supplier to consumer and beyond. The analysis showed that the participating companies are already partially aware of operational measures, even if they are applied or mentioned without a systematic approach. Furthermore, the analysis revealed that most activities relate to internal matters, like processing, employees and utilization. However, the responsibility of foodprocessing companies does not end with internal processes to reduce food waste. The results show that some companies are already aware of their responsibility to be involved along the entire supply chain. Finally, the results show that the needs of consumers and suppliers must also be considered in order to reduce food waste, in addition to direct reduction measures. This paper highlights nine important stages and 53 basic recommendations for companies to address food loss and waste in order to improve their practices. KW - Sustainability KW - Nachhaltigkeit KW - food waste reduction Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-139699 VL - 13 SP - 9569 EP - 9599 PB - MDPI ER -